The present report describe a clinical case of old patient with symptomatic giant Killian-Jamieson diverticulum. A KJD, described first by Killian, is a rare form of hypopharyngeal diverticulum (unfamiliar cervical esophageal disease)1. This outpouching generally protrudes through a muscular gap in the antero-lateral wall of the proximal esophagus, on the lateral pharyngoesophageal junction area (the Killian-Jamieson space) below the cricopharyngeal muscle and lateral to the longitudinal muscle of the esophagus1, 2 and 3. This rare disease entity is anatomically distinct from the more commonly known...

KJD is an uncommon esophageal type of hypopharyngeal pulsion diverticulum; it appears through the Killian’s dehiscence, resulting from herniation of mucosa and submucosa below the cricopharyngeal muscle wall (proximal lateral side of the cervical esophagus, Killian-Jamieson space), often unrecognized and misdiagnosed as a Zenker disease, diverticulum originates on the posterior wall of the pharyngoesophageal segment in a midline area of weakness just above the cricopharyngeus1,3,4 and 5. Zenker’s diverticulum is nearly four times as common as Killian-Jamieson diverticulum, and in literature, the two diseases have...

A 97 year old female patient visited our University Hospital due to regurgitation, epigastric pain and progressive dysphagia when eating solids lasting 24 months before hospitalization. She presented a lump sensation in the throat, mild oropharyngeal and suprasternal dysphagia for several months, globus sensation, heartburn, nighttime coughing and hoarseness, attributable to the diverticulum; history of aspiration pneumonia, no weight loss and she was nonsmoker. According to her anamnesis, she was taking Captopril + Hydrochlorothiazide because she had hypertension for about 10 years; she was taking...

The Authors emphasize the importance of an accurate clinical and imaging examination, as a fundamental act for exclude other cervical esophageal disease, principally the more commonly known Zenker’s diverticulum, and help to clarify its etiology. We believe its pathophysiology is similar to Zenker’s diverticulum, which is to say that Killian-Jamieson diverticulum is the result of a functional esophageal obstruction. The symptoms observed in our symptomatic old patient may be due to an underlying abnormal oral and or pharyngeal phase of swallowing. We believe that an...

Dr. Salvatore Pardo Dipartimento Biotecnologie Mediche e Forensi Università degli Studi di Palermo Via del Vespro 127 - 90100 Palermo office: +39 0931759422 fax: +39 0931753963 [email protected] [email protected]

1)Stephen E. Rubesin, Marc S. Levine. Killian-Jamieson Diverticula: Radiographic Findings in 16 Patients. July 2001; AJR 2001;177:85–89. 2)Fang Lee , Ching-Hsiang Leung , Wen-Chien Huang and Shih-Ping Cheng. Killian-Jamieson Diverticulum Masquerading as a Thyroid Mass. Intern Med 51: 1141-1142, 2012; DOI: 10.2169/internalmedicine.51.7219. 3)René D Boisvert, Drew CG Bethune, David Acton, Denis R Klassen. Bilateral Killian-Jamieson diverticula: A case report and literature review. Can J Gastroenterol 2010;24(3):173-174. 4)Dong Chan Kim, Jae Joon Hwang, Woo Surng Lee, Song Am Lee, Yo Han Kim, Hyun Keun Chee. Surgical...